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Marfan Syndrome.

Last updated Thursday, December 23, 2004

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Coping

Strategies for coping

Living and coping with a chronic disability, regardless of its severity, is a challenge for most people.

If you or your children have Marfan syndrome, know that there are many ways to adjust and to cope with its symptoms.

Because Marfan syndrome is hereditary, most couples express the following concerns about having children. First, will the child be affected? If so, how seriously? Second, will there be problems in pregnancy and childbirth? Third, is prenatal diagnosis available? Genetic counselors are especially helpful in answering these questions and discussing a family's concerns. Couples who are planning to have children, as well as couples who already have children, can benefit from genetic counseling.

When parents first find out their child has Marfan syndrome, they and other family members may experience feelings of denial, anger, blame, depression, or guilt. These are all normal feelings until the family learns to accept the illness. Acceptance, however, often takes time and support. Discussing feelings and concerns about Marfan syndrome with your family, a friend, doctor, or genetic counselor can help you and your family adjust more easily. Some family members benefit from discussing their concerns with a medical social worker, counseling psychologist, or clergyman. Many people find support in sharing information and concerns with others who have the disorder in their family.

Children who have Marfan syndrome may also have a difficult time adjusting to it, especially at first. They, too, may react with feelings of fear, anger, or depression and will need support from their family, friends, doctors, and teachers.

Some children may face adjustment problems due to their excessive height and poor eyesight. If they feel self-conscious about their height and thick glasses, they will often look to their parents and other family members for acceptance and reassurance. Remember too, that children's needs and concerns may change depending on their age, personality, and school environment.

If you have children with Marfan syndrome, remind them to be careful, yet encourage them to live as normally as possible. Children may need special protection, but they also need to play and have friends. Involve your children in activities they can safely enjoy. If they cannot participate in sports as actively as they wish, encourage them to develop other talents.

Discuss your children's needs with their teachers. Advise teachers that Marfan syndrome does not affect intelligence, but that visual problems often interfere with progress in school and that may affect the child's social and psychological adjustment. Ask teachers to adjust curriculum and special activities as needed. Some children having adjustment problems may benefit from short-term support counseling. Ask your doctor for a referral. Children can also gain support by talking to other children of the same age who also have Marfan syndrome. The National Marfan Foundation can help locate children who are willing to talk with others about their disorder.


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